Individual
ANNA MORGAN SHUMATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1827 NE 44TH AVE, PORTLAND, OR 97213-1443
(503) 963-6494
Mailing address
13928 SE 97TH AVE UNIT 13928, CLACKAMAS, OR 97015-8657
(336) 500-3609
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/15/2024
Last updated
08/15/2024
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